In this discussion, Dr. Tom Mallinson, a leader in remote medicine education with mountain rescue expertise, and Dr. Ella Corrick, a specialist in rural and expedition medicine, share their insights from the SOMA Conference. They tackle common challenges in austere medicine, highlight the importance of prolonged field care, and offer strategies for preparing for the Wilderness Paramedic Certification exam. The conversation emphasizes interactive learning, decision-making in medical scenarios, and the benefits of networking in advancing skills for remote practitioners.